Kodi dokotala wanu wakuuzani kuti muyenera kuyika chubu mu impso yanu? Kapena wachibale wanu kapena mnzanu wachitapo kanthu kotere? Dzinalo lingamveke ngati loopsa pang'ono, koma kwenikweni ichi ndi chinthu chofunikira kwambiri kuchita kuti muteteze impso zanu. Musadandaule, tikambirana chilichonse mwachidule: kodi chubu cha nephrostomy ndi chiyani, chifukwa chake chimayikidwa, ndi momwe mungachisamalire.
Mwachidule, kodi chubu cha Nephrostomy ichi n'chiyani?
Chubu cha nephrostomy ndi chubu chopyapyala komanso chosinthasintha chomwe chimagwiritsidwa ntchito kutulutsa mkodzo (mkodzo) kuchokera mu impso yanu. Dokotala amalowetsa chubu ichi kudzera kumbuyo kwanu, kudzera pakhungu, kupita mu impso yanu. Mbali ina ya chubucho imalumikizidwa ndi thumba lotolera mkodzo (thumba la nephrostomy). Choncho mkodzo wochokera mu impso yanu umatuluka mwachindunji mu thumba ili.
Kawirikawiri, mkodzo wopangidwa ndi impso umayenda m'mitsempha ya mkodzo, umasonkhana m'chikhodzodzo, kenako umatuluka m'thupi kudzera mu mkodzo. Koma nthawi zina china chake chingalepheretse ulendowu. Pamenepo ndi pamene chubu ichi chimayikidwa kuti chipange njira ina yotulukira mkodzo.
Nthawi zambiri, iyi ndi njira yakanthawi . Komabe, anthu ena angafunike kusunga chubucho kwa miyezi ingapo, kapena zaka. Izi zimadalira matenda omwe adakupangitsani kuti muyike chubucho.
N’chifukwa chiyani tiyenera kuyika chitoliro chotere?
Pali zifukwa zingapo zomwe mkodzo ungasiye kutuluka mu impso. Ngati mkodzo ulowa mkati, ukhoza kubwerera m'mbuyo ndikupangitsa impso kutupa ndikuyamba kuwonongeka. Vutoli limatchedwa Hydronephrosis . Chubu cha Nephrostomy chimayikidwa kuti chiteteze izi.
Onani tebulo ili m'munsimu kuti mudziwe zifukwa zazikulu zomwe zachititsa izi.
| Chifukwa | Kufotokozera Kosavuta |
|---|---|
| Miyala ya impso | Miyala imatha kulowa mu mkodzo ndikutseka njira. |
| Matenda | Matenda oopsa angayambitse impso kutupa ndikutseka njira ya mkodzo. |
| Zotupa kapena Khansa | Zotupa za khansa zomwe zili mkati kapena mozungulira impso, chikhodzodzo, prostate, kapena prostate gland zingayambitse kutsekeka kwa urethra. |
| Zilonda | Zipsera zomwe zimachitika chifukwa cha opaleshoni yakale kapena matenda opatsirana zingayambitse kuti mkodzo ukhale wopapatiza. |
| Kutupa pambuyo pa opaleshoni | Chifukwa cha kutupa kwakanthawi pambuyo pa opaleshoni ya impso. |
| Matenda omwe amabwera chifukwa chobadwa | Anthu ena amabadwa ndi zolakwika zina mu mkodzo wawo. |
Kodi mumakonzekera bwanji musanachite opaleshoniyi?
Dokotala wanu adzakuuzani momwe mungakonzekerere izi.
- Mungapemphedwe kuti musale kudya (kusiya kudya kapena kumwa) kwa maola angapo musanachite opaleshoni.
- Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, komanso ziwengo zilizonse zomwe mungakhale nazo, makamaka mankhwala ochepetsa magazi.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Iyi ndi njira yomwe nthawi zambiri imatenga pafupifupi ola limodzi ndipo imachitidwa ndi katswiri wa radiology.
1. Choyamba, mudzapatsidwa chovala cha kuchipatala ndipo mudzagonekedwa chagada (msana wanu utayang'ana mmwamba) patebulo.
2. Mungapatsidwe mankhwala oletsa kupweteka m'mitsempha kuti akuthandizeni kupumula komanso kuti musamve ululu uliwonse. Kuphatikiza apo, mankhwala oletsa kumva dzanzi adzaperekedwa kumalo omwe chubucho chidzalowetsedwe. Izi zimachitika popatsa ana aang'ono ndi akuluakulu ena mankhwala oletsa ululu , omwe amawagonetsa tulo tofa nato.
3. Dokotala adzagwiritsa ntchito makina a ultrasound kapena X-ray kuti adziwe komwe impso yanu ili.
4. Kenako, singano yaying'ono imalowetsedwa pakhungu kupita ku impso, ndipo waya umadutsa mu singano. Kenaka chubu cha nephrostomy chimayikidwa pamwamba pa waya ndikulowa mu impso. Nthawi zina madzi apadera (`contrast dye`) amaperekedwa ndipo X-ray imayesedwa (`Fluoroscopy`) kuti aone ngati chubucho chili pamalo oyenera.
5. Pomaliza, mbali yowonekera ya chubu imalumikizidwa ku thumba la mkodzo ndipo imamangidwa ndi soketi yaying'ono kapena chovala kuti chubucho chisatuluke pakhungu.
Kodi ndiyenera kusamala ndi chiyani nditachita opaleshoni?
Mudzayang'aniridwa kwa maola angapo mutachita opaleshoni ndipo mudzaloledwa kupita kunyumba ngati zonse zikuyenda bwino. Komabe, anthu ena angafunike kukhala m'chipatala kwa tsiku limodzi. Dziwani izi mukapita kunyumba.
- Ululu: Ndizachibadwa kumva ululu ndi kusasangalala pamalo omwe ali pa chubu kwa masiku angapo. Imwani mankhwala ochepetsa ululu monga momwe dokotala wanu wanenera. Anthu ena amaona kuti n'zosavuta kuyika dzanja lawo pamwamba pa chubu akamakwera masitepe kapena kuwerama.
- Zochita: Pewani kuthamanga, kulumpha, kapena kuchita masewera olimbitsa thupi kwa masiku angapo. Kuchita izi kungapangitse kuti chubucho chizituluka kapena kupangitsa kuti thumba lituluke.
- Ukhondo: Ndikofunikira kwambiri kusunga malo omwe payipiyo inayikidwapo kukhala oyera komanso ouma nthawi zonse kuti mupewe matenda. Chifukwa chake, pewani kusamba kapena kusambira. Ndikoyenera kusamba patatha maola 48, koma kuvala kuvala kuyenera kusinthidwa nthawi yomweyo pambuyo pake.
- Mtundu wa mkodzo: Ndizachilendo kuti mkodzo womwe uli mu thumba la mkodzo ukhale ndi mtundu wa pinki pang'ono (monga madzi a lalanje) kwa masiku awiri oyamba. Komabe, ngati mkodzo uli wofiira kwambiri (monga madzi a beetroot) , ndi chifukwa chodera nkhawa.
Kodi mumasamalira bwanji chitolirochi kunyumba kwanu?
Kusamalira bwino chubu ndikofunikira kuti mupewe matenda. Chipatala chidzakupatsani malangizo pankhaniyi. Chofunika kwambiri ndikusamba m'manja bwino ndi sopo ndi madzi kapena kugwiritsa ntchito mankhwala oyeretsera m'manja musanagwiritse ntchito chubu, thumba, kapena kuvala.
Kuyang'ana chubu ndi khungu lozungulira
Yang'anani zinthu izi tsiku ndi tsiku:
- Kodi chubucho chapindika kapena chakhala chilipo ? Ngati chilipo, mkodzo sudzalowa m'thumba.
- Kodi malo omwe chubucho chimakumana ndi khungu ndi ofiira, otupa, kapena akuwonetsa zizindikiro za matenda ?
- Kodi pali magazi mu mkodzo mu thumba la mkodzo?
- Kodi chidebecho chili chonyowa, chakuda, kapena chomasuka ? Chiyenera kukhala choyera komanso chouma nthawi zonse.
Kutulutsa mkodzo m'thumba
- Kuti mkodzo utuluke bwino, thumba la mkodzo liyenera kuyikidwa pansi pa impso nthawi zonse .
- Tulutsani chikwamacho chikadzala pafupifupi theka . Musadikire mpaka chitadzaza kwathunthu.
- Ngati muwona dzenje kapena kutuluka madzi m'thumba, ikani m'thumba latsopano.
Kusintha kuvala
Muyenera kusintha chovalacho kawiri pa sabata , kapena nthawi iliyonse chikanyowa kapena chikaipitsidwa. Mungafunike kupeza thandizo kuchokera kwa wachibale pa izi. Chipatala chidzakuphunzitsani momwe mungachitire izi ndikukupatsani zinthu zofunika.
Kodi ndiyenera kuyimbira dokotala liti?
Ngati pali vuto lililonse, mwachitsanzo, ngati mukumva ngati mkodzo sukupita m'thumba, dziwitsani dokotala wanu nthawi yomweyo. Kuphatikiza apo, ngati muli ndi zizindikiro zotsatirazi, onetsetsani kuti mwapeza upangiri wa dokotala.
| Mbali yofunika kuiganizira | Kufotokozera |
|---|---|
| Kaonaneni ndi dokotala nthawi yomweyo. | |
| Magazi ofiira akuda | Ngati muwona magazi ofiira akuda (monga madzi a beetroot) mu thumba la mkodzo (pinki yopepuka ndi yabwinobwino masiku oyambirira). |
| Mafinya kapena madzi achikasu | Ngati muwona madzi ofanana ndi mafinya kuchokera pamalo olowetsera chubu kapena m'thumba la mkodzo. |
| Kutuluka kwa mkodzo | Ngati mkodzo ukutuluka pakhungu lozungulira malo olowera chubu. |
| Malungo | Ngati kutentha kwa thupi kuli pamwamba pa 101 Fahrenheit (38.3 Celsius) kwa maola opitilira 24. |
| Ululu waukulu | Ngati muli ndi ululu waukulu pamalo omwe pali chubu, ululuwo sutha ngakhale mutamwa mankhwala. |
| Ngati chitolirocho chili chomasuka | Ngati chubucho chatuluka mwangozi, kaya kwathunthu kapena pang'ono, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala nthawi yomweyo. |
Kukhala ndi nephrostomy chubu nthawi zina kungakhale kovuta pang'ono m'maganizo. Koma kumbukirani, ichi ndi chinthu chomwe chimachitika kuti muteteze impso zanu ndikupulumutsa moyo wanu. Nthawi zambiri chimakhala chakanthawi. Lankhulani momasuka ndi banja lanu komanso dokotala za nkhawa zanu ndi momwe mukumvera.
Uthenga Wopita Nawo Kunyumba
- Njira yotetezera impso zanu ngati mkodzo watsekedwa.
- Pofuna kupewa matenda, ndikofunikira kusunga malo oikiramo mankhwalawo kukhala aukhondo komanso ouma nthawi zonse.
- Kumbukirani nthawi zonse kuyika thumba la mkodzo pamlingo wochepera kuposa impso zanu.
- Ngati muwona zizindikiro zochenjeza monga kupweteka kwambiri, malungo, kapena magazi ofiira akuda mu mkodzo wanu, imbani dokotala mwamsanga.
- Ndi zachilendo kumva kusasangalala mumtima mukakhala ndi vutoli. Koma kumbukirani kuti izi ndizofunikira pa thanzi lanu ndipo nthawi zambiri zimakhala zakanthawi.
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